Concluded Case

severe cellulitis

Patient age 60 yrs female complaints severe Leg pain with swelling. she was undergone multiple vericose vein surgery, h/o of HTN is using prazosine, no DTM, BP under control 135/85 mm of Hg. ESR 80mm/hr. Kindly do assist for Dx and Rx. Thank you

1 Like

LikeAnswersShare
Concluded answer

Repeat venous color doppler to localise the valves in perforator veins to look for incompetence. RF ablation can help . Arterial color doppler to look for peripheral arterial occlusion. Rest, elevation of limb, elastic stockings ,Cap DAFLON Look for allergy to external applications causing Eczematous dermatitis. Xray leg,MRI to exclude OM and necrotizing fasciitis . Recheck diabetes status .

All Answers

Repeat venous color doppler to localise the valves in perforator veins to look for incompetence. RF ablation can help . Arterial color doppler to look for peripheral arterial occlusion. Rest, elevation of limb, elastic stockings ,Cap DAFLON Look for allergy to external applications causing Eczematous dermatitis. Xray leg,MRI to exclude OM and necrotizing fasciitis . Recheck diabetes status .

Thank you doctor
0

View 1 other reply

Colour Doppler

Thank you doctor
0

Necrosis of left lower foot with go for colour Doppler study for venous system